JOHN KLOSTER (NPI# 1396918884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396918884 |
| Entity Type | Organization |
| Organization Name | JOHN KLOSTER |
| Other Organization Name | PEQUOT EYE CENTER |
| Practice Address |
4461 Main St Pequot Lakes MN 56472 |
| Mailing Address |
Po Box 176 Pequot Lakes MN 56472-0176 |
| Practice Telephone | 2185685555 |
| Practice Fax Number | 2185688904 |
| Mailing Telephone | 2185685555 |
| Mailing Fax Number | 2185688904 |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | DR. JOHN KLOSTER NELS KLOSTER (OWNER) |
| Authorized Official Telephone | 2185685555 |
| Authorized Official Credential | O,D, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2316 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 050325800 | 05 | |
| MN | MEDICA | 2220699 | 01 |
| MN | BLUE CROSS/ BLUE SHIELD | 64756PE | 01 |
| Other Name | Type Code |
|---|---|
| Pequot Eye Center | Doing Business As Name - Organization |
| Street Address |
4461 MAIN ST, |
| City | PEQUOT LAKES |
| State | MN |
| Zip Code | 56472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659837698 | Bpoint Pharmacy Services Ltd | Pharmacy | 30833 North Star Dr, Suite 2, Breezy Point, MN 56472 | 2019-02-14 |
| 1477930006 | Senior Class Care of Pequot Lakes, Inc. | Assisted Living Facility | 8898 Schaller Road, Pequot Lakes, MN 56472 | 2015-05-04 |
| 1831440312 | Jeevan Singh Dhouni | Pharmacist | 30103 Osceola Circle, Breezy Point, MN 56472 | 2012-09-25 |
| 1326222811 | Senior Class Home Health Care LLC | Home Health | 30849 1st Street, Pequot Lakes, MN 56472 | 2007-12-20 |
| 1598979940 | Loy Pfeiffer Inc | Pharmacy | 30984 Government Drive, Pequot Lakes, MN 56472 | 2007-05-09 |
| 1972656411 | Access Home Care, LLC | Home Health | 30392 Suffolk Circle, Pequot Lakes, MN 56472 | 2007-01-19 |
| 1427134428 | Joyce E. Neuman & Dean S. Brandt Ptrs. | Durable Medical Equipment & Medical Supplies | 4450 Main St, Pequot Lakes, MN 56472 | 2006-10-31 |
| 1326133786 | Ryan Dennis Buell | Chiropractor | 31095 Bergquist Drive, Pequot Lakes, MN 56472-0008 | 2006-10-03 |
| 1376602656 | Pequot Lakes Chiropractic and Sports Injury Center P.a | Chiropractor | 31095 Bergquist Drive, Pequot Lakes, MN 56472-0008 | 2006-12-06 |
| 1649360470 | Mark Thomas Sherman | Dentist | 30957 Old Hwy 371, Pequot Lakes, MN 56472-0128 | 2006-10-13 |
| Find all providers in zip 56472 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295781425 | Todd M Wiedell | Optometrist | 30960 Government Dr, Pequot Lakes, MN 56472-1003 | 2006-05-26 |
| 1447629282 | Todd M. Wiedell, O.d., Pa | Optometrist | 30960 Government Dr, Pequot Lakes, MN 56472-1003 | 2015-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615069 | Eagan Eye Clinic LLC | Optometrist | 12390 Sherburne Ave, Becker, MN 55308-9147 | 2020-10-02 |
| 1750998100 | Infinity Eye Care | Optometrist | 1275 Ramsey St Ste 700, Shakopee, MN 55379-3131 | 2020-09-29 |
| 1831700798 | Muychi Timothy Vang | Optometrist | 11217 Commerce Dr N, Champlin, MN 55316-3122 | 2020-08-13 |
| 1023628591 | Rahul Farmah | Optometrist | 680 Hwy 10 Ne, Blaine, MN 55434 | 2020-08-08 |
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1699399592 | Nicole Rene Schmiedt | Optometrist | 400 Selby Ave Apt 221, Saint Paul, MN 55102-4509 | 2020-06-05 |
| 1700409885 | Russell N Osnes Od & Associates Pa | Optometrist | 1340 Duckwood Dr Ste 14, Eagan, MN 55123-2324 | 2020-05-22 |
| 1225657067 | Viginia Ho | Optometrist | 680 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-04-12 |
| 1992331359 | Megan Kaye Horter | Optometrist | 1 Veterans Dr # 100-77, Minneapolis, MN 55417-2309 | 2020-03-18 |
| 1639704232 | Barton Eye Care LLC | Optometrist | 2306 S Broadway St Ste 12, Alexandria, MN 56308-1883 | 2020-03-04 |
| Find all providers with the same taxonomy | ||||
| City | PEQUOT LAKES |
| Zip Code | 56472 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.